North Carolina

State Supplementation

Mandatory Minimum Supplementation

Administration: State Department of Health and Human Services, Division of Aging and Adult Services and Division of Services for the Blind (state-supervised and county-administered).

Optional State Supplementation

Administration: State Department of Health and Human Services, Division of Aging and Adult Services and Division of Services for the Blind (state-supervised and county-administered). Payments are made under the State/County Special Assistance for Adults program.

Effective date: January 1, 1974.

Statutory basis for payment: General Statutes of North Carolina 108A.40 through 108A.47 and chapter 111 and chapter 143B-139.5.

Funding

Administration: 100 percent county funds.

Assistance: 50 percent state funds; 50 percent county funds.

Passalong method: Maintaining payment levels.

Place of application: County Department of Social Services.

Scope of coverage: Optional state supplement provided to all aged, blind, and disabled adults living in adult care homes. Children under age 18 are not eligible for optional supplementation.

Resource limitations: Federal SSI regulations apply.

Income exclusions

All categories: A $20 exemption applies to any income, including SSI, with the exception of income received as a Veterans Administration (VA) pension payment or a VA compensation payment to the surviving parent of a veteran.

Aged and disabled: Federal SSI regulations apply.

Blind: For earned income, exclude the first $85 plus one-half of the remainder.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

SOURCES: Social Security Administration, Office of Income Security Programs; state information.

NOTE: . . . = not applicable.

a. An additional $20 income exclusion is allowed. In addition, a $46 personal needs allowance is included in the optional supplementation.

b. Couples residing in these living arrangements are treated as individuals.

c. This is a temporary supplement paid until SSI eligibility is determined. This is for people who are currently in a private living arrangement.

d. If only one member of the couple is blind, payment level is $146.

e. If only one member of the couple is blind, payment level is $219.

DEFINITION:

Adult care home

Includes recipients residing in an assisted living residence in which the housing management provides 24-hour scheduled and unscheduled personal care services to two or more residents either directly or, for scheduled needs, through formal written agreement with licensed home care or hospice agencies. Recipients residing in a special care unit for Alzheimer's in an adult care home are eligible for a higher payment amount.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2006